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General NPI Number Information
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NPI Number | 1144191214
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Entity Type | Individual
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Provider Name | DANIELLE POE
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Gender | Female
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 07/19/2026
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Provider Practice Location Address
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Address Line | 1738 OWEN DR STE 107
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3880
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Country | US
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Telephone | 910-307-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 2657 ADDISON MEADOWS LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-6725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5024974
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 28285027A
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License Number State | IN
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